Patient awareness during CPR

Paramagician

Verified Military
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Jul 7, 2016
Messages
227
#1
I was reading the news when I stumbled across this gem. Apparently, a man was in the hospital when he suffered from an aortic dissection. Went into cardiac arrest, but was still somehow awake/aware during CPR. It was reported that he got multiple doses of epinephrine, so Im assuming full ACLS type care for 90 minutes before they terminated the code and the patient died.

How is it even possible that someone would be aware during CPR? And for 90 minutes no less. I guess we cant ask the guy since he ended up passing away.....

Doctors report strange case of man who stayed awake during cardiac arrest
 

snapt

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Joined
Jun 9, 2013
Messages
30
#2
That's some high quality CPR! There are anecdotes of Lucas devices keeping people perfusing and somewhat responsive during codes, not sure how much I believe that but it's out there.
 

Paramagician

Verified Military
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Jul 7, 2016
Messages
227
#3
Thats what I thought too, but with an aortic dissection I just cant see it. BP would drop so low that theres no way you could have a decent CPP. Right?!?
 

snapt

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Jun 9, 2013
Messages
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#4
Aortic Aneurysm covers such a broad spectrum its near impossible to surmise all the factors that went into this. It did strike me as odd that they called the code with the guy still responsive, perhaps a small facility without surgical capabilities?

The more time I spend in this business the less I'm surprised by the crazy things the human body can endure at times.
 

Devildoc

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Nov 3, 2015
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Durham, NC
#5
We have seen people die from things they should have lived from. We have seen people live when they should have died. I have been in the medical field in some capacity since 1990, and I am always amazed at the things I have seen and heard.

I agree with @Paramagician , no way I can imagine a CPP high enough when your whole blood supply is laying around in the chest not going anywhere, but who knows?
 

medicchick

Farking hot weather
Member
Joined
Aug 10, 2011
Messages
801
Location
Nevada
#6
Aortic Aneurysm covers such a broad spectrum its near impossible to surmise all the factors that went into this. It did strike me as odd that they called the code with the guy still responsive, perhaps a small facility without surgical capabilities?

The more time I spend in this business the less I'm surprised by the crazy things the human body can endure at times.
I was taught if they are responsive to use altered ACLU measures (had one pt with a wonky pace maker, they were in and out). I had an instructor who as a noob did a quick look, saw v-fib and went to shock even though the patient was fighting him. His own hands were shaking enough to cause a false reading.
 
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